3,386 results match your criteria Osgood-Schlatter Disease

Surgical Treatment Outcomes of Unresolved Osgood-Schlatter Disease in Adolescent Athletes.

Case Rep Orthop 2021 17;2021:6677333. Epub 2021 Mar 17.

Penn State College of Medicine, Hershey, PA 17033, USA.

The purpose of this case series is to report the outcomes of ossicle excision and tubercleplasty for unresolved Osgood-Schlatter disease that has failed conservative treatment in six adolescent athletes. A retrospective chart review was completed, and data collected include age at onset of symptoms, age at surgery, sex, laterality, mechanism of injury, conservative treatment regimen, radiographic findings, sports played, time to return to sport, length of follow-up, and Lysholm score. Surgery involved an open ossicle excision, tubercleplasty, and repair of the patellar tendon to bone using a suture anchor. Read More

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Posterior Tibial Slope is Increased in Patients With Tibial Tubercle Fractures and Osgood-Schlatter Disease.

J Pediatr Orthop 2021 Mar 29. Epub 2021 Mar 29.

Children's National Hospital The George Washington University School of Medicine and Health Sciences Department of Orthopaedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC.

Background: Osgood-Schlatter disease (OSD) and tibial tubercle fractures are pathologies that affect the tibial tubercle apophysis in preadolescents and adolescents. Anatomic alignment of the proximal tibia may explain why some children develop OSD or sustain tibial tubercle fractures and some do not. Recent data has shown an association between posterior tibial slope angle (PTSA) and both OSD and proximal tibia physeal fractures. Read More

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A systematic review on conservative treatment options for OSGOOD-Schlatter disease.

Phys Ther Sport 2021 May 9;49:178-187. Epub 2021 Mar 9.

Department of Sport, Exercise and Health, University of Basel, Birsstrasse 320 B, 4052, Basel, Switzerland. Electronic address:

Objectives: Osgood-Schlatter disease (OSD) is a sport- and growth-associated knee pathology with locally painful alterations around the tibial tuberosity apophysis. Up to 10% of adolescents are affected by OSD. Treatment is predominantly conservative. Read More

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Osgood-Schlatter Disease as a Possible Cause of Tibial Tuberosity Avulsion.

Cureus 2021 Feb 10;13(2):e13256. Epub 2021 Feb 10.

Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.

Osgood-Schlatter disease (OSD) proposes that bony microtrauma of the patellar tendon insertion on the tibial tuberosity may be due to inappropriate stress with adolescent activity, and is a common pathology among pediatric patients. Lack of activity restrictions may further contribute to significant bony damage due to continued quadriceps contraction, which in some cases results in a tibial tuberosity avulsion fracture. Evaluation in the ED should include distal neurovascular status, as compartment syndrome has also been documented. Read More

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February 2021

Rheumatic immune-related adverse events associated with immune checkpoint inhibitors compared with placebo in oncologic patients: a systemic review and meta-analysis.

Ther Adv Chronic Dis 2021 12;12:2040622320976996. Epub 2021 Feb 12.

Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Objective: We aim to characterize the incidence and relative risk of rheumatic and systemic immune-related adverse effects (irAEs) among immune checkpoint inhibitor (ICI) therapy compared with those after placebo treatment.

Methods: Randomized clinical trial studies with placebo control with the following keywords were searched from Embase, PubMed, Cochrane databases: immune checkpoint inhibitors, neoplasms, randomized controlled trials, and adverse effects.

Results: Among the 5444 published and 316 registration records, nine placebo-controlled randomized clinical trials met our selection criteria, and included data from 5560 patients. Read More

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February 2021

Degenerative spine disease: Italian position paper on acquisition, interpretation and reporting of Magnetic Resonance Imaging.

Insights Imaging 2021 Feb 11;12(1):14. Epub 2021 Feb 11.

Neuroradiology Department, IRCCS Mondino Foundation, Pavia, Italy.

Objective: To promote a better radiological interpretation of spine degeneration, a consistent standardization of the acquisition, interpretation and description of Magnetic Resonance Imaging (MRI) l findings.

Materials And Methods: In order to achieve this objective, a consensus among experts in imaging of degenerative spine disease (DSD) from Italian radiological societies (SIRM-Italian Society of Radiology, AINR-Italian Association of Neuroradiology) was achieved. The representatives of the Italian inter-societal working group examined the literature produced by European/American task forces on optimizing the study sequences, classification of degenerative disc changes, spondylo-arthrosis, osteochondrosis, synovial and ligament pathologies of the spinal column, and on canal and foraminal stenosis. Read More

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February 2021

The effect of pedicle subtraction osteotomy for the correction of severe Scheuermann thoracolumbar kyphosis on sagittal spinopelvic alignment.

BMC Musculoskelet Disord 2021 Feb 10;22(1):165. Epub 2021 Feb 10.

Departments of Orthopaedic Surgery, Peking Union Medical College Hospital (PUMCH), Peking Union Medical College and Chinese Academy of Medical Sciences; State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital(PUMCH), Peking Union Medical College and Chinese Academy of Medical Sciences, No. 1 Shuaifuyuan Hutong, Beijing, 100730, People's Republic of China.

Purpose: To analyze how pedicle subtraction osteotomy (PSO) treatment of severe Scheuermann thoracolumbar kyphosis (STLK) using pedicle screw instrumentation affects sagittal spinopelvic parameters.

Background: The medical literature on the post-surgical effects of treatments such as Ponte osteotomy is limited, but suggests few effects on spinopelvic profiles. Currently, there is no research regarding changes in sagittal spinopelvic alignment upon PSO treatment in STLK patients. Read More

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February 2021

Distinguishing between congenital phenomena and traumatic experiences: Osteochondrosis versus osteochondritis.

J Orthop 2021 Jan-Feb;23:185-190. Epub 2021 Jan 21.

Department of Pathology, Anatomy, and Laboratory Medicine (PALM), Division of Anatomy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown, WV, 26506, USA.

The current study is to distinguish between osteochondrosis and osteochondritis, utilizing surface microscopy of individuals with documented pathology. Osteochondrosis is associated with smooth borders and gradient from edge to defect base, while osteochondritis and subchondral impaction fractures are associated with subsidence of the affected area of articular surface with irregular edges. The base of osteochondrosis is penetrated by multiple channels, smoothly perforate its surface, indistinguishable from unfused epiphyses, confirming their vascular nature. Read More

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January 2021

Treatment of advanced stage osteochondrosis dissecans in the adolescent elbow using a hyaloronic acid-based scaffold: a case series of 5 patients.

Arch Orthop Trauma Surg 2021 Feb 4. Epub 2021 Feb 4.

Orthopedic Hospital Speising, Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Medical University Vienna, Speisingerstrasse 109, 1130, Vienna, Austria.

Introduction: Osteochondrosis dissecans (OCD) is considered to be one of the main causes for pain, discomfort and morbidity in the pediatric elbow joint. Few treatment options, such as microfracture or autologous transplantation, of osteochondral bone grafts have been described to address advanced OCD. The aim of this retrospective case series is to present preliminary clinical and radiologic findings following advanced stage OCD repair using a novel combination of a hyaluronic acid-based scaffold with autologous iliac crest bone grafting. Read More

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February 2021

Electromagnetic navigation reduces radiation exposure for retrograde drilling in osteochondrosis dissecans of the talus.

BMC Musculoskelet Disord 2021 Feb 3;22(1):135. Epub 2021 Feb 3.

Department of Pediatric Orthopedics, Altonaer Children's Hospital, Bleickenallee 38, 22763, Hamburg, Germany.

Background: Retrograde drilling in osteochondrosis dissecans (OCD) is a widely used surgical intervention. A radiation-free electromagnetic navigation system (ENS)-based method was compared with the standard freehand fluoroscopic (SFF) method regarding clinical applicability.

Methods: We performed a clinical cohort study at a department of Orthopaedics in a Level 1 children's hospital with 40 patients (20 SFF and 20 ENS). Read More

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February 2021

Radiological, vascular osteochondrosis occurs in the distal tarsus, and may cause osteoarthritis.

Equine Vet J 2021 Feb 3. Epub 2021 Feb 3.

Faculty of Veterinary Medicine, Department of Companion Animal Clinical Sciences, Equine Section, Norwegian University of Life Sciences, Oslo, Norway.

Background: Osteochondrosis occurs due to failure of the blood supply to growth cartilage. Osteochondrosis lesions have been identified in small tarsal bones and suggested to cause distal tarsal osteoarthritis; however, it has not been determined whether distal tarsal osteochondrosis lesions were the result of vascular failure.

Objectives: To perform post-mortem arterial perfusion and micro-computed tomography (CT) of the central (CTB) and third tarsal bones (TIII) of fetuses and foals up to 5 months old, to describe tarsal development and any lesions detected. Read More

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February 2021

Bifocal Avulsion of the Patellar Tendon From the Distal Patella and Tibial Tuberosity in a Skeletally Immature Patient: A Case Report.

JBJS Case Connect 2020 11 24;10(4):e20.00065. Epub 2020 Nov 24.

Department of Traumatology, Bambino Gesu' Children Hospital of Rome, Italy.

Case: A 13-year-old boy suffered a sports injury of the right knee. The clinical examination showed swelling, inability to bear weight, and pain involving the inferior apex of the patella and the anterior tibial tuberosity. Imaging studies showed an avulsion fracture, sleeve-like, from the patella apex and avulsion of the tibial tuberosity. Read More

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November 2020

Influence of osteochondrosis on the longevity and racing performance of standardbred trotters and pacers.

Vet Surg 2021 Apr 18;50(3):507-516. Epub 2021 Jan 18.

New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.

Objective: To determine the influence of clinical osteochondrosis (OC) on the short-term (2, 3, and 4-year-old) and long-term racing performance and longevity of standardbred racehorses.

Study Design: Retrospective case-control study.

Sample Population: Standardbred racehorses from a single breeding farm born between 2009 and 2017 that survived to racing age (n = 2711). Read More

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The Shoulder Joint and Common Abnormalities.

Vet Clin North Am Small Anim Pract 2021 Mar 11;51(2):323-341. Epub 2021 Jan 11.

Department of Orthopedic Surgery, Nexus Veterinary Bone & Joint Center, Baltimore, MD 21224, USA. Electronic address:

The shoulder is a complex joint composed mostly of static and dynamic capsuloligamentous structures and plays an important role in forelimb lameness. Its complex anatomy and biomechanics necessitate thorough examination and diagnostic work-up for accurate diagnosis. This article provides an updated review of common canine shoulder pathologies, including osteochondrosis, bicipital and supraspinatus tendinopathies, infraspinatus contracture, medial shoulder syndrome, and luxation. Read More

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Prevalence of lateral patellofemoral maltracking and associated complications in patients with Osgood Schlatter disease.

Skeletal Radiol 2021 Jul 6;50(7):1399-1409. Epub 2021 Jan 6.

Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Objective: To evaluate adults with history of Osgood Schlatter disease (OSD) for imaging features of lateral patellofemoral maltracking.

Methods: In a span of four years, 10,181 unique non-contrast knee MRIs were performed on patients aged 20-50. Patients with acute trauma, prior surgery, and synovial pathologies were excluded. Read More

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Radiographic diagnosis and surgical management for successful outcomes for osteochondrosis in Japanese Black calves.

J Vet Med Sci 2021 Jan 28;83(1):151-157. Epub 2020 Dec 28.

Laboratory of Veterinary Surgery, Department of Veterinary Science, University of Miyazaki, 1-1 Gakuen Kibana-dai Nishi, Miyazaki 889-2192, Japan.

Osteochondrosis (OC) is not well recognized in cattle. Japanese Black (JB) cattle are valued for their beef and studies regarding OC are scarce. Hence, the aim of this study was to retrospectively discuss clinical and radiographical findings, diagnosis and treatment options for OC in JB cattle for successful outcomes. Read More

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January 2021

The surgical treatment of severe Scheuermann's kyphosis.

Bone Joint J 2021 Jan;103-B(1):148-156

Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Edinburgh, UK.

Aims: To report the surgical outcome of patients with severe Scheuermann's kyphosis treated using a consistent technique and perioperative management.

Methods: We reviewed 88 consecutive patients with a severe Scheuermann's kyphosis who had undergone posterior spinal fusion with closing wedge osteotomies and hybrid instrumentation. There were 55 males and 33 females with a mean age of 15. Read More

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January 2021

Legg-Calvé-Perthes disease in a patient with Bardet-Biedl syndrome: A case report of a novel mutation.

Clin Case Rep 2020 Dec 21;8(12):3110-3115. Epub 2020 Sep 21.

Department of Orthopaedic Surgery Aichi Children's Health and Medical Center Obu Japan.

This article reports a girl with Bardet-Biedl syndrome (BBS) having a novel causative mutation who developed Legg-Calvé-Perthes disease (LCPD). There exists a possibility that the prognosis of LCPD had been adversely affected by the concomitant BBS. Read More

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December 2020

Towards a definition of Ancient Rare Diseases (ARD): Presenting a complex case of probable Legg-Calvé-Perthes Disease from the North Caucasian Bronze Age (2200-1650 cal BCE).

Int J Paleopathol 2021 Mar 21;32:61-73. Epub 2020 Dec 21.

German Archaeological Institute, Department of Natural Sciences, Im Dol 2-6, 14195, Berlin, Germany. Electronic address:

Objective: This study discusses the challenges and possibilities of establishing a definition for Ancient Rare Diseases (ARD) in a probable case of Legg-Calvé-Perthes Disease (LCPD) from the Bronze Age cemetery Kudachurt 14, situated in the Northern Caucasus.

Materials: We investigated the skeletal remains of a male aged 35-45 years at death. For comparison we examined other males buried at Kudachurt 14 (n = 24) and reviewed 22 LCPD cases from the paleopathological literature. Read More

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Lameness in fattening pigs - Mycoplasma hyosynoviae, osteochondropathy and reduced dietary phosphorus level as three influencing factors: a case report.

Porcine Health Manag 2020 Dec 15;6(1):41. Epub 2020 Dec 15.

Field Station for Epidemiology, University of Veterinary Medicine Hannover, Foundation, Hannover, Germany.

Background: Multiple diagnostic procedures, their results and interpretation in a case with severe lameness in fattening pigs are described. It is shown that selected diagnostic steps lead to identification of various risk factors for disease development in the affected herd. One focus of this case report is the prioritization of diagnostic steps to verify the impact of the different conditions, which finally led to the clinical disorder. Read More

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December 2020

The Medial Elevation Osteotomy for Late-presenting and Recurrent Infantile Blount Disease.

J Pediatr Orthop 2021 Feb;41(2):67-76

Department of Orthopaedic Surgery, School of Clinical Medicine, University of KwaZulu-Natal, KwaZulu-Natal, South Africa.

Background: Late-presenting or recurrent infantile Blount disease (IBD) is characterized by knee instability because of medial tibial plateau depression, multiplanar proximal tibial deformity, and potential distal femoral deformity. The surgical treatment strategy includes medial elevation osteotomy to stabilize the knee, together with proximal tibial osteotomy to correct alignment, and lateral epiphysiodesis to prevent a recurrence. This study's primary aim was to describe the clinical outcomes of medial elevation osteotomy for the management of late-presenting and recurrent IBD. Read More

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February 2021

AMIC for Focal Osteochondral Defect of the Talar Shoulder.

Life (Basel) 2020 Dec 5;10(12). Epub 2020 Dec 5.

Department of Orthopaedics and Trauma Surgery, University Clinic Aachen, RWTH Aachen University Clinic, 52064 Aachen, Germany.

Background: The management of a focal osteochondral lesion of the talus (OLT) is challenging. Evidence concerning the role of the autologous matrix-induced chondrogenesis (AMIC) procedure in patients with focal OLT is promising. The purpose of the present study was to investigate clinical outcomes and radiographic findings of the AMIC technique for focal unipolar OLT. Read More

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December 2020

Simultaneous Bilateral Patellar Tendon Rupture in a Young Adult Male: A Case Report and Review of the Literature.

Cureus 2020 Sep 25;12(9):e10649. Epub 2020 Sep 25.

Department of Surgery - Division of Orthopedic Surgery, Lehigh Valley Health Network, Allentown, USA.

A bilateral patellar tendon rupture is extremely rare and has only been documented in case reports. Although the etiology remains unknown, predisposing factors include steroid usage, systemic diseases, and tendinopathies. In the present case, a healthy 33-year-old male with a prior history of bilateral patellar tendonitis and a diagnosis of Osgood-Schlatter disease during adolescence experienced simultaneous bilateral patellar tendon rupture after playing volleyball. Read More

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September 2020

Functional Outcome of Sesamoid Excision in Athletes.

Am J Sports Med 2020 12 23;48(14):3603-3609. Epub 2020 Oct 23.

Twin Cities Orthopedics, Eagan, Minnesota, USA.

Background: Sesamoid injuries can have a significant effect on the ability of athletes to return to play. The literature shows mixed results with sesamoid excisions and the ability to return to sports.

Hypothesis/purpose: The purpose was to describe patient-reported outcomes and return to sports in athletes after sesamoidectomy with a proper surgical technique and a well-structured rehabilitation protocol. Read More

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December 2020

Radiography and Standing Computed Tomography of an Osteochondritis Dissecans Lesion Found at the Dorsodistolateral Aspect of the Calcaneus in a 3-Year-Old Horse.

J Equine Vet Sci 2020 11 1;94:103240. Epub 2020 Sep 1.

Vetsuisse Faculty, Division of Clinical Radiology, University of Bern, Bern, Switzerland.

An incidental osteochondritis dissecans (OCD) lesion was found in a left tarsus of a 3-year-old Freiberger stallion presented for a prepurchase examination. The lesion was best visualized on the dorsomedial-plantarolateral oblique and dorsoplantar projections. A standing computed tomographic examination confirmed a fragmentation of the dorsodistolateral aspect of the calcaneus. Read More

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November 2020

Predictive Factors for Recurrence in Infantile Blount Disease Treated With Tibial Osteotomy.

J Pediatr Orthop 2021 Jan;41(1):e36-e43

Department of Orthopaedic Surgery, School of Clinical Medicine, University of KwaZulu-Natal, Msunduzi, South Africa.

Background: This study aimed to determine the recurrence rate in infantile Blount disease (IBD) in a cohort of patients treated with a tibial osteotomy; and also to identify which factors were associated with recurrence.

Methods: We reviewed the records of 20 patients, under the age of 7 years, with IBD (35 involved extremities) treated by proximal tibial realignment osteotomy to physiological valgus at a single institution over 4 years. We then analyzed the data to determine the rate of recurrence and identify the risk factors for recurrence. Read More

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January 2021

Surface-Modified Poly(l-lactide--glycolide) Scaffolds for the Treatment of Osteochondral Critical Size Defects-In Vivo Studies on Rabbits.

Int J Mol Sci 2020 Oct 13;21(20). Epub 2020 Oct 13.

Department of Biomaterials and Composites, Faculty of Materials Science and Ceramics, AGH-University of Science and Technology, Al. Mickiewicza 30, 30-059 Kraków, Poland.

Poly(l-lactide--glycolide) (PLGA) porous scaffolds were modified with collagen type I (PLGA/coll) or hydroxyapatite (PLGA/HAp) and implanted in rabbits osteochondral defects to check their biocompatibility and bone tissue regeneration potential. The scaffolds were fabricated using solvent casting/particulate leaching method. Their total porosity was 85% and the pore size was in the range of 250-320 µm. Read More

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October 2020

Infantile Tibia Vara (Blount Disease) with Iatrogenic Changes Causing Residual Tibial Deformities.

J Surg Orthop Adv 2020 ;29(3):141-148

Department of Orthopaedic Surgery, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.

Treatment of infantile tibia vara or Blount disease (ITV/BD) in patients < 3 years old and Langenskiold stages I-III consists of orthosis and, in relapsing cases, proximal tibial osteotomy and/or proximal tibial guided growth laterally with a tension band plate. Our aim was to evaluate the results of treatments in a consecutive group. After Institutional Review Board approval, data from 2002 to 2018 were collected. Read More

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November 2020

Total Hip Arthroplasty for Developmental Dysplasia of Hip vs Osteoarthritis: A Propensity Matched Pair Analysis.

Arthroplast Today 2020 Sep 22;6(3):607-611.e1. Epub 2020 Jun 22.

Attending Orthopedic Surgeon, University of Pennsylvania, Department of Orthopedic Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.

Background: The purpose of this study was to use the American College of Surgeons National Surgical Quality Improvement Program to compare the perioperative and postoperative outcomes after total hip arthroplasty (THA) for DDH and primary OA via a propensity-matched pair analysis and the valuation of THA between both groups.

Material And Methods: All patients who underwent THA between 2008 and 2016 were identified from National Surgical Quality Improvement Program database via the current procedural terminology (CPT) code. Patients were further identified and stratified based on International Statistical Classification of Diseases and Related Health Problems-9/International Statistical Classification of Diseases and Related Health Problems-10 diagnosis codes for primary OA (n = 115,166) and DDH (n = 603), which included codes for congenital hip dislocation, hip dysplasia, or juvenile osteochondrosis. Read More

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September 2020

Two-stage anterior and posterior fusion versus one-stage posterior fusion in patients with Scheuermann's kyphosis.

Bone Joint J 2020 Oct;102-B(10):1368-1374

Spinal Deformity Unit, Royal National Orthopaedic Hospital, Stanmore, UK.

Aims: Whether a combined anteroposterior fusion or a posterior-only fusion is more effective in the management of patients with Scheuermann's kyphosis remains controversial. The aim of this study was to compare the radiological and clinical outcomes of these surgical approaches, and to evaluate the postoperative complications with the hypothesis that proximal junctional kyphosis would be more common in one-stage posterior-only fusion.

Methods: A retrospective review of patients treated surgically for Scheuermann's kyphosis between 2006 and 2014 was performed. Read More

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October 2020